- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative ... environment with revenue cycle management and clinical partners at various Houston Methodist facilities. This position...and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,… more
- Chiesi (Dallas, TX)
- …Every one of us is Chiesi." Who we are looking for Purpose The Senior Medical Science Liaison has the primary responsibility of building key opinion leader (KOL) ... include establishing and maintaining educational and research collaborations; delivery of clinical , scientific, and technical education; building long term peer to… more
- HCA Healthcare (Austin, TX)
- …patients identifying physical, psychosocial and environmental needs as evidenced by documentation , clinical records, case conferences, team reports, call-in logs ... care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care… more
- CenterWell (Houston, TX)
- …insurance effective on your first day of employment. + CME Allowance/Time. + AI Clinical documentation support. + Optional flexible schedule with one day off ... data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based...approachable demeanor. + Follow policies and protocols defined by Clinical Leadership. + Meet with medical directors to discuss… more
- CenterWell (Beaumont, TX)
- …effective on your first day of employment. + CME Allowance/Time. + AI Clinical documentation support. (Elaborate) + Optional flexible schedule with one day ... professional and approachable demeanor. . Completes all medical record documentation in a timely manner working with a quality-...coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of… more
- Elevance Health (Grand Prairie, TX)
- …of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation , provider communication, ... reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members… more
- Evolent (Austin, TX)
- …Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office ... offer you a meaningful way to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values… more
- Evolent (Austin, TX)
- …Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the… more
- Evolent (Austin, TX)
- …offer you a meaningful way to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance on a team that values ... as, aids and acts as a resource to Initial Clinical Reviewers. **What You Will Be Doing:** + Serve...National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or… more
- CVS Health (Austin, TX)
- …CSV Healthspire, and other CVS subsidiaries.** **As a Sr. Design Manager for a clinical platform team within CVS Health Care Delivery, you will oversee design for an ... industry-leading clinical operations and population health platform. This platform supports...move the needle on the key metrics** + **Design Documentation Quality: You will ensure team members document user… more